The multicenter effectiveness study of inpatient and day hospital treatment in departments of psychosomatic medicine and psychotherapy in Germany
BackgroundReliable outcome data of psychosomatic inpatient and day hospital treatment with a focus on psychotherapy are important to strengthen ecological validity by assessing the reality of mental health care in the field. This study aims to evaluate the effectiveness of inpatient and day hospital...
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| Language: | English |
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Frontiers Media S.A.
2023-08-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1155582/full |
| _version_ | 1827875018390896640 |
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| author | Stephan Doering Stephan Doering Stephan Herpertz Magdalena Pape Tobias Hofmann Matthias Rose Katrin Imbierowicz Franziska Geiser Antonie Louise Bierling Antonie Louise Bierling Antonie Louise Bierling Kerstin Weidner Jörg Rademacher Silke Michalek Eva Morawa Yesim Erim Per Teigelack Martin Teufel Armin Hartmann Claas Lahmann Eva Milena Johanne Peters Eva Milena Johanne Peters Johannes Kruse Johannes Kruse Dirk von Boetticher Christoph Herrmann-Lingen Mariel Nöhre Martina de Zwaan Ulrike Dinger Ulrike Dinger Hans-Christoph Friederich Alexander Niecke Christian Albus Rüdiger Zwerenz Manfred Beutel Heribert Christian Sattel Peter Henningsen Barbara Stein Christiane Waller Karsten Hake Carsten Spitzer Andreas Stengel Stephan Zipfel Katja Weimer Harald Gündel Henrik Kessler Henrik Kessler |
| author_facet | Stephan Doering Stephan Doering Stephan Herpertz Magdalena Pape Tobias Hofmann Matthias Rose Katrin Imbierowicz Franziska Geiser Antonie Louise Bierling Antonie Louise Bierling Antonie Louise Bierling Kerstin Weidner Jörg Rademacher Silke Michalek Eva Morawa Yesim Erim Per Teigelack Martin Teufel Armin Hartmann Claas Lahmann Eva Milena Johanne Peters Eva Milena Johanne Peters Johannes Kruse Johannes Kruse Dirk von Boetticher Christoph Herrmann-Lingen Mariel Nöhre Martina de Zwaan Ulrike Dinger Ulrike Dinger Hans-Christoph Friederich Alexander Niecke Christian Albus Rüdiger Zwerenz Manfred Beutel Heribert Christian Sattel Peter Henningsen Barbara Stein Christiane Waller Karsten Hake Carsten Spitzer Andreas Stengel Stephan Zipfel Katja Weimer Harald Gündel Henrik Kessler Henrik Kessler |
| author_sort | Stephan Doering |
| collection | DOAJ |
| description | BackgroundReliable outcome data of psychosomatic inpatient and day hospital treatment with a focus on psychotherapy are important to strengthen ecological validity by assessing the reality of mental health care in the field. This study aims to evaluate the effectiveness of inpatient and day hospital treatment in German university departments of Psychosomatic Medicine and Psychotherapy in a prospective, naturalistic, multicenter design including structured assessments.MethodsStructured interviews were used to diagnose mental disorders according to ICD-10 and DSM-IV at baseline. Depression, anxiety, somatization, eating disorder and posttraumatic stress disorder (PTSD) symptoms, as well as personality functioning were assessed by means of questionnaires on admission and at discharge.Results2,094 patients recruited by 19 participating university hospitals consented to participation in the study. Effect sizes for each of the outcome criteria were calculated for 4–5 sub-groups per outcome domain with differing severity at baseline. Pre-post effect sizes for patients with moderate and high symptom severity at baseline ranged from d = 0.78 to d = 3.61 with symptoms of PTSD, depression, and anxiety showing the largest and somatization as well as personality functioning showing somewhat smaller effects.ConclusionsInpatient and day hospital treatment in German university departments of Psychosomatic Medicine and Psychotherapy is effective under field conditions.Clinical trial registrationhttps://drks.de/search/de/trial/DRKS00016412, identifier: DRKS00016412. |
| first_indexed | 2024-03-12T17:00:13Z |
| format | Article |
| id | doaj.art-dbd4fe0018df4d4699ff51a0d806565e |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-12T17:00:13Z |
| publishDate | 2023-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-dbd4fe0018df4d4699ff51a0d806565e2023-08-07T15:39:15ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-08-011410.3389/fpsyt.2023.11555821155582The multicenter effectiveness study of inpatient and day hospital treatment in departments of psychosomatic medicine and psychotherapy in GermanyStephan Doering0Stephan Doering1Stephan Herpertz2Magdalena Pape3Tobias Hofmann4Matthias Rose5Katrin Imbierowicz6Franziska Geiser7Antonie Louise Bierling8Antonie Louise Bierling9Antonie Louise Bierling10Kerstin Weidner11Jörg Rademacher12Silke Michalek13Eva Morawa14Yesim Erim15Per Teigelack16Martin Teufel17Armin Hartmann18Claas Lahmann19Eva Milena Johanne Peters20Eva Milena Johanne Peters21Johannes Kruse22Johannes Kruse23Dirk von Boetticher24Christoph Herrmann-Lingen25Mariel Nöhre26Martina de Zwaan27Ulrike Dinger28Ulrike Dinger29Hans-Christoph Friederich30Alexander Niecke31Christian Albus32Rüdiger Zwerenz33Manfred Beutel34Heribert Christian Sattel35Peter Henningsen36Barbara Stein37Christiane Waller38Karsten Hake39Carsten Spitzer40Andreas Stengel41Stephan Zipfel42Katja Weimer43Harald Gündel44Henrik Kessler45Henrik Kessler46Department of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, AustriaComprehensive Clinical Center for Neurosciences and Mental Health (C3NMH), Medical University of Vienna, Vienna, AustriaDepartment of Psychosomatic Medicine and Psychotherapy, LWL-University Hospital, Ruhr-University Bochum, Bochum, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, LWL-University Hospital, Ruhr-University Bochum, Bochum, GermanyCharité Center for Internal Medicine and Dermatology, Department of Psychosomatic Medicine, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, GermanyCharité Center for Internal Medicine and Dermatology, Department of Psychosomatic Medicine, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University of Bonn, Bonn, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University of Bonn, Bonn, GermanyDepartment of Psychotherapy and Psychosomatic Medicine, Carl Gustav Carus Faculty of Medicine, Technische Universität, Dresden, GermanyInstitute for Material Science and Nanotechnology, Technical University of Dresden, Dresden, GermanyDepartment of Clinical Psychology, Friedrich-Schiller University, Jena, GermanyDepartment of Psychotherapy and Psychosomatic Medicine, Carl Gustav Carus Faculty of Medicine, Technische Universität, Dresden, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, Heinrich Heine University Düsseldorf, Düsseldorf, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, Heinrich Heine University Düsseldorf, Düsseldorf, Germany0Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany0Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany1Clinic of Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, University of Duisburg-Essen, Essen, Germany1Clinic of Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, University of Duisburg-Essen, Essen, Germany2Department of Psychosomatic Medicine und Psychotherapy, Center for Mental Health, Faculty of Medicine, University of Freiburg, Freiburg, Germany2Department of Psychosomatic Medicine und Psychotherapy, Center for Mental Health, Faculty of Medicine, University of Freiburg, Freiburg, Germany3Department of Psychosomatic Medicine and Psychotherapy, Justus-Liebig University of Giessen, Giessen, Germany4Department of Psychosomatic Medicine and Psychotherapy, Philipps-University of Marburg, Marburg, Germany3Department of Psychosomatic Medicine and Psychotherapy, Justus-Liebig University of Giessen, Giessen, Germany4Department of Psychosomatic Medicine and Psychotherapy, Philipps-University of Marburg, Marburg, Germany5Department of Psychosomatic Medicine and Psychotherapy, University of Göttingen Medical Centre, Göttingen, Germany5Department of Psychosomatic Medicine and Psychotherapy, University of Göttingen Medical Centre, Göttingen, Germany6Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hannover, Germany6Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hannover, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, Heinrich Heine University Düsseldorf, Düsseldorf, Germany7Department of General Internal Medicine and Psychosomatics, University Hospital, Heidelberg University, Heidelberg, Germany7Department of General Internal Medicine and Psychosomatics, University Hospital, Heidelberg University, Heidelberg, Germany8Department of Psychosomatic Medicine and Psychotherapy, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany8Department of Psychosomatic Medicine and Psychotherapy, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany9Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany9Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany0Department of Psychosomatic Medicine and Psychotherapy, University Hospital, Technical University of Munich, Munich, Germany0Department of Psychosomatic Medicine and Psychotherapy, University Hospital, Technical University of Munich, Munich, Germany1Department of Psychosomatic Medicine and Psychotherapy, Paracelsus Medical University, Nuremberg General Hospital, Nuremberg, Germany1Department of Psychosomatic Medicine and Psychotherapy, Paracelsus Medical University, Nuremberg General Hospital, Nuremberg, Germany2Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Rostock, Rostock, Germany2Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Rostock, Rostock, Germany3Internal Medicine VI, Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany3Internal Medicine VI, Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany4Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, Germany4Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, LWL-University Hospital, Ruhr-University Bochum, Bochum, Germany5Department of Psychosomatic Medicine and Psychotherapy, Campus Fulda, University of Marburg, Marburg, GermanyBackgroundReliable outcome data of psychosomatic inpatient and day hospital treatment with a focus on psychotherapy are important to strengthen ecological validity by assessing the reality of mental health care in the field. This study aims to evaluate the effectiveness of inpatient and day hospital treatment in German university departments of Psychosomatic Medicine and Psychotherapy in a prospective, naturalistic, multicenter design including structured assessments.MethodsStructured interviews were used to diagnose mental disorders according to ICD-10 and DSM-IV at baseline. Depression, anxiety, somatization, eating disorder and posttraumatic stress disorder (PTSD) symptoms, as well as personality functioning were assessed by means of questionnaires on admission and at discharge.Results2,094 patients recruited by 19 participating university hospitals consented to participation in the study. Effect sizes for each of the outcome criteria were calculated for 4–5 sub-groups per outcome domain with differing severity at baseline. Pre-post effect sizes for patients with moderate and high symptom severity at baseline ranged from d = 0.78 to d = 3.61 with symptoms of PTSD, depression, and anxiety showing the largest and somatization as well as personality functioning showing somewhat smaller effects.ConclusionsInpatient and day hospital treatment in German university departments of Psychosomatic Medicine and Psychotherapy is effective under field conditions.Clinical trial registrationhttps://drks.de/search/de/trial/DRKS00016412, identifier: DRKS00016412.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1155582/fullinpatientpsychosomatic treatmenteating disorderssomatoform disorderspersonality functioning |
| spellingShingle | Stephan Doering Stephan Doering Stephan Herpertz Magdalena Pape Tobias Hofmann Matthias Rose Katrin Imbierowicz Franziska Geiser Antonie Louise Bierling Antonie Louise Bierling Antonie Louise Bierling Kerstin Weidner Jörg Rademacher Silke Michalek Eva Morawa Yesim Erim Per Teigelack Martin Teufel Armin Hartmann Claas Lahmann Eva Milena Johanne Peters Eva Milena Johanne Peters Johannes Kruse Johannes Kruse Dirk von Boetticher Christoph Herrmann-Lingen Mariel Nöhre Martina de Zwaan Ulrike Dinger Ulrike Dinger Hans-Christoph Friederich Alexander Niecke Christian Albus Rüdiger Zwerenz Manfred Beutel Heribert Christian Sattel Peter Henningsen Barbara Stein Christiane Waller Karsten Hake Carsten Spitzer Andreas Stengel Stephan Zipfel Katja Weimer Harald Gündel Henrik Kessler Henrik Kessler The multicenter effectiveness study of inpatient and day hospital treatment in departments of psychosomatic medicine and psychotherapy in Germany Frontiers in Psychiatry inpatient psychosomatic treatment eating disorders somatoform disorders personality functioning |
| title | The multicenter effectiveness study of inpatient and day hospital treatment in departments of psychosomatic medicine and psychotherapy in Germany |
| title_full | The multicenter effectiveness study of inpatient and day hospital treatment in departments of psychosomatic medicine and psychotherapy in Germany |
| title_fullStr | The multicenter effectiveness study of inpatient and day hospital treatment in departments of psychosomatic medicine and psychotherapy in Germany |
| title_full_unstemmed | The multicenter effectiveness study of inpatient and day hospital treatment in departments of psychosomatic medicine and psychotherapy in Germany |
| title_short | The multicenter effectiveness study of inpatient and day hospital treatment in departments of psychosomatic medicine and psychotherapy in Germany |
| title_sort | multicenter effectiveness study of inpatient and day hospital treatment in departments of psychosomatic medicine and psychotherapy in germany |
| topic | inpatient psychosomatic treatment eating disorders somatoform disorders personality functioning |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1155582/full |
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